PERSISTENT LOCALIZED BULLOUS ERUPTION ASSOCIATED WITH FOCAL INFECTION

Abstract

WITHIN one year I have encountered 2 strikingly similar instances of a persistent localized bullous eruption of the skin in elderly patients that apparently was due to focal infection of the teeth. REPORT OF CASES Case 1.— Mr. W. M., a white man 70 years of age, was referred to me on Feb. 21, 1945 with a bullous eruption of his wrists of three months' duration. History.— The patient was employed by the street department of his city. For about two years his work consisted of heating tar for roads. His wrists were always exposed to the steam from the boiling tar, and sometimes liquid tar actually splattered onto his hands and wrists. He used fuel oil to remove the tar from his skin. The patient did not have any cutaneous discomfort until the summer of 1944, when he noticed itching and an irritation of his wrists. This irritation did